• If you prefer, you may print our traditional order forms and fax your supply request to (402) 484-5463, or for faster service, complete the online form below.
  • If you have any questions please contact Supplies at (402) 465-1965.
  • Supply Order Form Download (PDF)
  • * For miscellaneous supplies not listed below, please fill in the appropriate information in the Comments/Special Orders field on the form.
  • * To avoid delays and/or missed deliveries please include your complete name and address when placing an order.


This order form is intended for clients located in the state of Nebraska only, for all other clients please contact your sales representative or account manager for more information.

Please enter your Client Id formed as NXXXX or XXXXXXXX.

Please enter your client name and where you would like this order shipped to.

Due to federal regulations we are able to provide only those supplies needed for collection/transportation of specimens referred to LabCorp for testing.

Clinical Lab Supplies

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Anatomic Cytology Lab Supplies

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If you would like to receive a copy of your order please use the printer friendly link below to display printable copies.

Printer Friendly Link